| NPI | 1770975849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN RAMOS Managing Member 801-601-1450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2015-02-26 |
| Last Update Date | 2022-03-08 |